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Lab Report # <br /> GeoAnalytical Laboratories, Inc. <br /> 1405 Kansas Avenue Phone(209)572.0900 <br /> Modesto,CA 9535 t FAX(209)572-0916 <br /> _ Phone: <br /> C.lienl: t"+ 3 CHAIN OF CUSTODY Fax: <br /> Address: T C c eJ k-1 (. 11 To: <br /> Zi <br /> ProjecI ID <br /> (Print game) C �� <br /> Sampled By r Qv <br /> (Signature) Container <br /> Sample type p �� <br /> Lab ID# <br /> Date Time Sample TD o <br /> Crab (imp M.n. 1 [pe Sizt L <br /> 4 <br /> - >�7 x ,2C 35 <br /> 32 C <br /> 1 <br /> Remarks <br /> i <br /> I <br /> C to ulJ�,�nature) Date e�uric Re ed by(Signature)Date 'rime <br /> Re`t quish by (Sign ure) Date Tintc Received b (Signature)L� Y ( g ) Date lime <br /> Relinquished by (Signature) Date 'mte Received At Laboratory by(Signature) Date 1lIne <br /> Site Time: Driving Time: Total Hours \ <br /> Stan: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage Approved By <br />